Most Relevant Information
Provider Data
| NPI Number: | 1003593120 |
| Provider Name: | AMANDA PEERY FNP-BC |
| Entity Type: | Individual |
| Taxonomy Code: | 363L00000X |
| Specialty: | Nurse Practitioner |
| License Number: | 34170 |
Most Important Dates
| Enumeration Date: | 06/30/2023 |
| Last Updated: | 06/30/2023 |
Provider Practice Location
11611 HIGHWAY 51 S
ATOKA
TN
380047130
Practice Location Phone/Fax
| Phone: | 9018421760 |
| Fax: | 9018421761 |
Provider Mailing Location
190 COLONIAL WOODS DR
ATOKA
TN
380047792
Provider Mailing Phone/Fax
| Phone: | 9015694824 |
| Fax: |